Roanoke Valley Special Services LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

ROANOKE VALLEY SPECIAL SERVICES LLC

Practice address

113 W 10TH Street
Roanoke Rapids, NC 27870-1364

Phone

(252) 533-0045

Fax

(252) 533-0046

NPI assigned

Mar 20, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Bernice L. Lee, M.ED., BS., QP

Title

Director,Manager

Phone

(252) 533-0045

Specialties & licenses 7

Addresses

Other identifiers 1

Tax ID family

Roanoke Valley Special Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Roanoke Valley Special Services LLC

  • Mental Health Counselor
  • Garysburg, NC
  • NPI 1164754289
  NPD tax ID
• Roanoke Valley Special Services LLC

  • Professional Counselor
  • Garysburg, NC
  • NPI 1790017812
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318464000000",
    "number": "1831214386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1364",
            "address_2": "113 W 10TH STREET",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278701364",
            "telephone_number": "252-533-0045",
            "fax_number": "252-533-0046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 W 10TH STREET",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278701364",
            "telephone_number": "252-533-0045",
            "fax_number": "252-533-0046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROANOKE VALLEY SPECIAL SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2011-10-13",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BERNICE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR,MANAGER",
        "authorized_official_telephone_number": "252-533-0045",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED., BS., QP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301881",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roanoke Valley Health Services, Inc
• Roanoke Valley Health Services, Inc
• Roanoke Valley Internal Medicine & Rheumatology PC
• Roanoke Valley Pediatrics PLLC
• Roanoke Valley Psychiatric Associates, P.a.
• Roanoke Valley Surgical Assoc
• Kenneth Robert, MD
• Kayla Ernestine Roberts, DNP, AGPCNP-BC
• Morgan Robinson
• Kesha Lashawn Rooks, DNP, RN

• Case Management Agency in Roanoke Rapids, NC
• Providers in Roanoke Rapids, NC by specialty
• Case Management Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.